Individual
GARLIC JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 FOREST AVE, PORTLAND, ME 04101-2018
(207) 885-2098
Mailing address
91 BECKETT ST, PORTLAND, ME 04101-5426
(207) 546-1480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR27941
ME
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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